Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: ExampleMedicationDispenseClaim - JSON Representation

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{
  "resourceType" : "MedicationDispense",
  "id" : "1000001",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2024-04-17T15:26:23.217+00:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-medicationdispense"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationDispense 1000001</b></p><a name=\"1000001\"> </a><a name=\"hc1000001\"> </a><a name=\"1000001-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2024-04-17 15:26:23+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-pdex-medicationdispense.html\">PDex MedicationDispense</a></p></div><p><b>An attribute to express the refill number of a prescription</b>: 1</p><p><b>status</b>: Completed</p><p><b>medication</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/ndc 54458-872-10}\">Lisinopril, 30 TABLET in 1 BLISTER PACK (54458-872-10) (package)</span></p><p><b>subject</b>: <a href=\"Patient-1.html\">Johnny Appleseed  Male, DoB: 1986-01-01 ( Member Number)</a></p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-4.html\">Practitioner Susan Smith </a></td></tr></table><p><b>location</b>: <a href=\"Location-5.html\">Location MyFavorite Pharmacy</a></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode RF}\">Refill</span></p><p><b>quantity</b>: 60</p><p><b>daysSupply</b>: 30</p><p><b>whenHandedOver</b>: 2024-04-15 09:00:23+0000</p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/DispenseRefill",
      "valueQuantity" : {
        "value" : 1
      }
    }
  ],
  "status" : "completed",
  "medicationCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "54458-872-10"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/1"
  },
  "performer" : [
    {
      "actor" : {
        🔗 "reference" : "Practitioner/4"
      }
    }
  ],
  "location" : {
    🔗 "reference" : "Location/5"
  },
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "RF"
      }
    ]
  },
  "quantity" : {
    "value" : 60
  },
  "daysSupply" : {
    "value" : 30
  },
  "whenHandedOver" : "2024-04-15T09:00:23.217+00:00"
}